I feel like my breasts are too far apart & are too bottom heavy with nipples too high up with scars in fold now riding up. Am I bottoming out with lateral displacement? I was a 32a pre surgery, had 275cc smooth silicone implants under the muscle moderate profile (post-op a 34c). If I decide to revise, should I get an internal bra, textured implants, change to higher profile or just have the pockets tightened? Could the implants shifted because I went too large? Can the gap be decreased? Thanks!
Answer: Breast Augmentation Implants 6 months post op Bottom Out and Lateral Displacement? It does appear that you have bottoming out of the implants. The lateral placement of the implants may be due to the diameter of the implants and your natural breast diameter and not necessarily lateral displacement. You certainly can get more cleavage, but because you are thin and have naturally small breasts, you may have rippling in the medial aspect of your breasts if you try to get more cleavage or you choose to go with a significantly larger implant. I don't necessarily recommend going with a higher profile implant, that may actually only make your gap larger or at best the same as it is now. You would benefit from an in person exam so that your options can better be explained after a thorough breast exam. To decrease the gap in the cleavage you would need a larger base diameter implant. To correct the bottoming out, you would need a capsulorraphy, internal suturing of the lower aspect of your breasts, and perhaps the outer aspect, depending on the final size of implant that you would be choosing. Good luck!
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Answer: Breast Augmentation Implants 6 months post op Bottom Out and Lateral Displacement? It does appear that you have bottoming out of the implants. The lateral placement of the implants may be due to the diameter of the implants and your natural breast diameter and not necessarily lateral displacement. You certainly can get more cleavage, but because you are thin and have naturally small breasts, you may have rippling in the medial aspect of your breasts if you try to get more cleavage or you choose to go with a significantly larger implant. I don't necessarily recommend going with a higher profile implant, that may actually only make your gap larger or at best the same as it is now. You would benefit from an in person exam so that your options can better be explained after a thorough breast exam. To decrease the gap in the cleavage you would need a larger base diameter implant. To correct the bottoming out, you would need a capsulorraphy, internal suturing of the lower aspect of your breasts, and perhaps the outer aspect, depending on the final size of implant that you would be choosing. Good luck!
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August 30, 2016
Answer: Bottoming out Thank you for the photos they confirm your suspicions. The high riding incision is an indication that the breast fold has been lowered. The correction for this can be done with suture techniques to close the space and restore the fold to its normal position.As far as the cleavage is concerned that is difficult to say from the photos. This is determined by the muscle attachment to the breast bone. A more projecting implant can help with the perception of cleavage even if the implants can not be placed closer together.Seek out a board certified plastic surgeon to evaluate you and give more detailed information on how to best proceed.Good luck and I hope this was helpful.
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August 30, 2016
Answer: Bottoming out Thank you for the photos they confirm your suspicions. The high riding incision is an indication that the breast fold has been lowered. The correction for this can be done with suture techniques to close the space and restore the fold to its normal position.As far as the cleavage is concerned that is difficult to say from the photos. This is determined by the muscle attachment to the breast bone. A more projecting implant can help with the perception of cleavage even if the implants can not be placed closer together.Seek out a board certified plastic surgeon to evaluate you and give more detailed information on how to best proceed.Good luck and I hope this was helpful.
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August 30, 2016
Answer: Bottoming out You have a very common issue that the fix has a high rate of success. My recommendation would be to perform a lateral and inferior capsulorrhaphy (suturing the pocket on the sides and bottom) and an implant exchange to larger smooth round silicone implant. Find a board certified plastic surgeon in your area that has extensive experience in these types of surgeries. Best of luck to you.
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August 30, 2016
Answer: Bottoming out You have a very common issue that the fix has a high rate of success. My recommendation would be to perform a lateral and inferior capsulorrhaphy (suturing the pocket on the sides and bottom) and an implant exchange to larger smooth round silicone implant. Find a board certified plastic surgeon in your area that has extensive experience in these types of surgeries. Best of luck to you.
Helpful
August 30, 2016
Answer: Implants moving to the side and falling....what to do? Thank you for your question and reviewing your concerns. Smooth silicone implants can work very well for most patients. There is a subset of patients, however, in which the implants settle excessively and fall laterally (to the side). This is more likely to happen if you had limited supportive breast tissue or stretchable skin. It is also more likely to occur if your ribcage angles outwards, because the implants will always want to follow the angulation of the chest. When you lay down, the implants will want to stretch the side of your breasts and stretch-out the pocket.Sometimes, a capsulorrhapy is all that is needed to improve your situation. In this procecure, the doctor will tighten and reduce the size of your pockets such that the implants move up and in. The capsulorrhapy can be strengthened with a supportive material such as Seri (silk mesh) or ADM. Textured implants can be helpful, but require a moderate amount of breast tissue to conceal (to avoid wrinkling). I would recommend speaking to your doctor about your concerns and you should get some good options. Best wishes!
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August 30, 2016
Answer: Implants moving to the side and falling....what to do? Thank you for your question and reviewing your concerns. Smooth silicone implants can work very well for most patients. There is a subset of patients, however, in which the implants settle excessively and fall laterally (to the side). This is more likely to happen if you had limited supportive breast tissue or stretchable skin. It is also more likely to occur if your ribcage angles outwards, because the implants will always want to follow the angulation of the chest. When you lay down, the implants will want to stretch the side of your breasts and stretch-out the pocket.Sometimes, a capsulorrhapy is all that is needed to improve your situation. In this procecure, the doctor will tighten and reduce the size of your pockets such that the implants move up and in. The capsulorrhapy can be strengthened with a supportive material such as Seri (silk mesh) or ADM. Textured implants can be helpful, but require a moderate amount of breast tissue to conceal (to avoid wrinkling). I would recommend speaking to your doctor about your concerns and you should get some good options. Best wishes!
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August 30, 2016
Answer: Malposition You have malposition with bottoming out that will require capsular sling and tightening of the inframammary fold. Seek a breast revision specialist in your area.
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August 30, 2016
Answer: Malposition You have malposition with bottoming out that will require capsular sling and tightening of the inframammary fold. Seek a breast revision specialist in your area.
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